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2020-05227 <br />a."ORDED AS PRESENTFD ON <br />07 02125/2.020 12:52 PH <br />MARY as H WISNIEWSKI <br />sr. 30SEPH cone TV <br />RECUROM <br />Hold Recorded copy for: Board of Public Works PGS, I MUZ 25,00 <br />CONSENT TO ANNEXATION, WAIVER OF RIGHT TO REMONSTRATE <br />AND ACKNOWLEDGMENT OFMISCELLANOUS CITY FEES <br />In consideration for permission to tap into the municipal utility system (water and/or sewer) ofthe city of South Bend, <br />Indiana, in order to provide sanitary sewer and/or water service to the following described property, (hereinafter referred <br />to as the "Real Estate"), situated in St. Joseph County, Indiana. <br />Property Owner I Miller Builders/Denny Miller <br />Property Address 52564 Common Eider Trail, South Bend, IN <br />Tax ID/Key 4 021-1038-061913 <br />Property Description Lot 201 Au <br />gustine Lake See I <br />Mailing Address 805 Green Pine Ct., Mishawaka, IN 46545 <br />r-7WA"LER WER <br />owner(s) of the Real Estate, (hereinafter "Owner"), loo themselves and their successors in title, assigns, and personal <br />representatives, hereby irrevocably waive and release any and all right which they may now or hereafter have to remonstrate <br />aLtunsl or otherwiseinterfere with, or oppose any pending or future annexation ofthe Real Estate by the City QfSouth Bend. <br />In further consideration and to induce the City of South Bend to allow OYner to tap 41110 the municipal utilities (sewer and/or <br />water) ofthe City of South Bend, Owner, for themselves and their successors and assigns, agrees and stipulates irrevocably to <br />vest in the City of South Bend the permanent right, at the CiTy's discretion, to annex the Real Estate at any future time by t y <br />authorized ordinance. d 11 <br />Owner flusher agrees that any deeds, contracts, or other instruments of conveyance trade ivy Owner, their successors or assigns <br />shall contain the waiver and release provisions contained here"', which Provisions Shull I'Llo with the, land. <br />Pursuant to Chapter 17, Article 10, Sections 17-79 and 17-90 ofthe South Bend Municipal Code, Owner acknowledges and <br />accepts the Owner's obligation to pay a wastewater and water system development charge based on expected usage. Further, <br />the Owner acknowledges and agrees to pay the applicable surcharge established under Chapter 17, Article 10, Section 17-81 <br />for wastewater service. <br />The delivery of any instrument of conveyance from the Owner to any successor, grantee, vendee or contract purchaser is subject <br />to the terms of this document and the acceptance of such histrument shall constitute an acceptance ofthe foregoing provisions <br />by said grantee, vendee, (It Contract purchaser and their successors in title. <br />(Property Owner I Sipature — <br />41L,vLl ��o <br />Property Owner (Print Name) <br />Via <br />Date: Z 7 <br />BOARD OF PUBLIC WORKS <br />7PRO AL <br />Gary A. Gilot. President <br />E1.11. ', �1.1., Memfacr <br />Date: <br />STATE OF INDIANA <br />) SS: <br />COUNTY OF ST JOSEPH <br />Before a" NotPublic in and for said County and State, personally <br />appeared & - <br />" -L-5- -1. _ and he Acknowledged the execution of the foregoing Consent to <br />Annexation as his voluntary act and deed. <br />NVI - �SS my lot cl d N 'a] S this ---Z .—Dayof 40+�- 9o/I <br />J0S,9#A <br />A resident of <br />61-e <br />(Printed Name) My Commission Expires: <br />cliu_aNtac, bg - haqkk,. tgnso, <br />kU _0 <br />T & Eii-In siaL--L _jg1-Sg A <br />auti MIL MI= <br />